Laserfiche WebLink
NOTE: PULL ALLL. RMITS (Septic, Well, etc.) MAKE ti#PIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00004580 <br /> DATE RECEIVED by EHD: July 20,2004 APPL#: PA-04-393 <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, August 3, 2004 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 23250 N SOWLES RD,ACAMPO APN : 00738014 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: y� Public Sewer: fly <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> O <br /> I recommend: Approval Denial El Continuance I spector <br /> Sig tore <br /> Supervisor/Lead Senior COMMENTS: <br /> -20-a0b <br /> D aaca.i7/� <br /> C . 22 : 0 ✓ <br /> _ r , <br /> SUPERVISOR/ LEAD SENIOR Approval: rZ r t �` Date: <br /> OA 11 Check OH List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 5 hdy 27.'_ow <br />